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WWW.BROOKES.AC.UK/GO/RADAR RADAR Research Archive and Digital Asset Repository Tatiana Bachkirova, Linet Arthur and Emma Reading Evaluating a coaching and mentoring programme: Challenges and solutions, International Coaching Psychology Review (2015) British Psychological Society No DOI This version is available: https://radar.brookes.ac.uk/radar/items/d657ad37-3a17-4e82-94de-157ce030b48e/1/ Available on RADAR: 08.04.2016 Copyright © and Moral Rights are retained by the author(s) and/ or other copyright owners. A copy can be downloaded for personal non-commercial research or study, without prior permission or charge. This item cannot be reproduced or quoted extensively from without first obtaining permission in writing from the copyright holder(s). The content must not be changed in any way or sold commercially in any format or medium without the formal permission of the copyright holders. This document is the accepted version.

Transcript of RADAR · RADAR Research Archive and Digital Asset Repository Tatiana Bachkirova, Linet Arthur and...

Page 1: RADAR · RADAR Research Archive and Digital Asset Repository Tatiana Bachkirova, Linet Arthur and Emma Reading Evaluating a coaching and mentoring programme: Challenges and solutions,

WWW.BROOKES.AC.UK/GO/RADAR

RADAR

Research Archive and Digital Asset Repository

Tatiana Bachkirova, Linet Arthur and Emma Reading

Evaluating a coaching and mentoring programme: Challenges and solutions, International Coaching Psychology Review (2015) British Psychological Society No DOI This version is available: https://radar.brookes.ac.uk/radar/items/d657ad37-3a17-4e82-94de-157ce030b48e/1/ Available on RADAR: 08.04.2016

Copyright © and Moral Rights are retained by the author(s) and/ or other copyright owners. A copy can be downloaded for personal non-commercial research or study, without prior permission or charge. This item cannot be reproduced or quoted extensively from without first obtaining permission in writing from the copyright holder(s). The content must not be changed in any way or sold commercially in any format or medium without the formal permission of the copyright holders.

This document is the accepted version.

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Evaluating a Coaching and Mentoring Programme: challenges and

solutions

Tatiana Bachkirova, Linet Arthur and Emma Reading

Abstract

Objectives: This paper describes an independently conducted research study to develop appropriate

measures and evaluate the coaching/mentoring programme that the London Deanery had

been running for over five years. It also aims to explore specific challenges in the evaluation

of a large-scale coaching programme and to suggest new solutions.

Design: The challenges to evaluation included the need to use established but also context-relevant

measures and the need for a rigorous but also pragmatic design that took into account a

number of practical constraints. Overall it was a mixed method research design consisting of

a within-subject quantitative study with support of a qualitative grounded theory methodology

conducted in parallel.

Method: The selected measures for the quantitative part of the study included employee

engagement, self-efficacy and self-compassion. An additional questionnaire SWRQ (Specific

Work-Related Questionnaire) was developed as the result of a qualitative investigation with

stakeholder representatives. It included a self-estimation by the coached clients of the extent

to which they could attribute each change to the coaching received rather than any other

factor. The qualitative part of the study included interviews with stakeholders and the

analysis of responses to an open question in the SWRQ.

Results: One hundred and twenty (78%) of matched responses pre- and post-coaching were

analyzed and 7 stakeholders interviewed. The results of the quantitative and qualitative

analysis show improvement in all chosen scales. The analysis also shows that coaching was

a major contributor to these changes.

Conclusions:

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The paper argues for the development of additional methods in outcome research on

coaching programmes that are aligned with the main principles and philosophy of coaching

as a practice.

Keywords: Coaching; evaluation of coaching; outcome research.

Introduction

For the last two decades we have been witnessing unprecedented growth of the coaching

industry. Many organizations invest in coaching programmes. It seems, however, that the

pace of growing evidence of the added value of coaching that should come from research,

does not yet match the speed of the implementation of coaching programmes.

Consequently many organisations aim to gather their own evidence about the effectiveness

of these programmes to justify the return on investment. The London Deanery is one such

organisation.

The London Deanery established a Coaching and Mentoring service for doctors and

dentists in London in 2008. The coaches were trained by an established leadership

coaching provider and their performance was assessed at the end of the training. The

outcome of the service was measured by individual feedback from the service users.

However, it was viewed that although this provided some data on how the service was

performing, it was not sufficient to identify any performance changes in the recipients. The

service was publicly funded thus it was important that it should be properly evaluated to

ensure value for money. Preliminary work looking at the literature evaluating the benefits of

coaching and mentoring did not reveal an established methodology for conducting such a

review. The Oxford Brookes team of researchers won a bidding process for the research

based on their proposals for developing novel methodologies for the evaluation of the

service. The aim of the study was to establish whether the measures selected could identify

changes in the performance and attitudes of doctors undergoing the coaching intervention,

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since ultimately the purpose of the programme is to improve the effectiveness of doctors

and dentists for the benefit of the patient.

It appears that the London Deanery task is not dissimilar to questions asked by many

HRD practitioners. However, as Lawrence and Whyte (2014) recently argued, these

practitioners “have not yet collectively identified a satisfactory approach to evaluating the

efficacy of coaching” (2014: 6). This is not surprising because the problem of measuring the

impact of organizational intervention is not new: it has been actively discussed since

Kirkpatrick’s (1977) methodology for evaluating training programmes (e.g. Ely et al, 2010)

but it is still debated, particularly in relation to the evaluation of training (Passmore and Joao

Velez, 2014) Kirkpatrick admitted that it is extremely difficult, if not impossible, to evaluate

certain programmes in terms of the results (1977) because of the numerous factors

influencing the outcomes. Others authors continue echoing this conclusion (Ely et al, 2010;

de Haan & Duckworth, 2012). A financial addition to Kirpartick’s methodology – ROI (Return

on Investment) has been particularly critiqued in relation to coaching with recent conclusions

that are not dissimilar to Kirpatrick’s premise (De Meuse, 2009; Grant, 2012, 2013; de Haan

& Duckworth, 2012; Passmore & Fillery-Travis, 2011; Theeboom et al, 2013).

The evaluation of coaching programmes is considered to be even more difficult than

the evaluation of training programmes (Ely et al, 2010; Grant, 2012, de Haan & Duckworth,

2012). The problems are exacerbated by a number of factors, such as the diversity of

outcomes of coaching comparing to the relatively fixed expectations of training; the highly

individual approach of the coach, which prevents more explicit knowledge of the process;

the confidentiality that surrounds specific details of the goals and consequent outcomes.

On the other hand, as coaching programmes tend to be expensive there appears to

be a stronger need to justify such expenditure, particularly in the public sector. Therefore, in

spite of the additional costs involved in undertaking a full-scale research study on assessing

the effectiveness of a coaching programme, the London Deanery chose this option.

However, such evaluations face similar issues and obstacles as large-scale outcome

research projects on organizational interventions (Theeboom et al, 2013; De Meuse, et al,

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2009; Passmore & Fillery-Travis, 2011), particularly the use of established paradigms. If

traditional positivist methodologies are considered as the gold standard of evaluation, there

is a danger that the complexity of coaching interventions may be overlooked (de Haan &

Duckworth; Ely et al, 2010). This paper explores how some specific challenges of the

evaluation of a large-scale coaching programme were addressed and will suggest a

methodology that is more in line with the philosophy of coaching. This will be discussed

together with the results of the actual evaluation.

Literature review

While recognizing that there are wider debates on the evaluation of organizational

interventions (for example, Passmore & Joao Velez, 2014), this literature review is only

focused on the evaluation of effectiveness of coaching programmes. Typically this literature

addresses three main themes: a) issues of evaluation in principle depending on the main

stakeholders; b) most acceptable methodologies of evaluation and c) specific measures of

evaluations.

In relation to the general issues of evaluation Grant (2013) suggests that we need to

start with a question: “who is interested in evaluation – and why” (2013: 15). The first group

concerned with this question is the coaches. On the one hand they wish coaching to be

seen as effective for marketing purposes; on the other hand, they are interested in

improving their practice. Purchasers of coaching ask the question of whether coaching

works because they want to know if coaching is cost-effective. Both coaches and

purchasers seem to have vested interests in the results of evaluation. In comparison,

researchers and academics are well placed to explore the effectiveness of coaching using

rigorous research methods and are interested in developing evidence-based practice for

coaching (Fillery-Travis & Lane, 2006; Briner, 2012; Passmore & Fillery-Travis, 2011).

However, they are probably more than others aware of many difficulties in applying

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scientifically respected methods to researching coaching practice (Ellam-Dyson, 2012;

Drake, 2009; Ely et al, 2010; Grant, 2012).

One of the main problems is that many of these research methods require significant

oversimplification of the nature of practice. Coaching is a complex intervention influenced by

the interplay of different factors such as the client’s attitude, coach’s skill, coach/client

relationship, all of which are subject to complex dynamics affected by the contextual issues

(de Haan & Duckworth, 2012; Ely et al, 2010). In addition if coaching is sponsored by an

organisation it is difficult to establish who the main provider of information about the

effectiveness of coaching should be: the client, the coach, the purchaser of the service or

those on the receiving end of the changes that are made by the client. In terms of more

specific issues various authors also question a typical assumption that coaches from

different backgrounds, training and styles deliver the same type of coaching and whether it

is possible to treat coaching as a homogeneous intervention, allowing general conclusions

to be drawn about its effectiveness (Theeboom, 2013).

In terms of acceptable methodologies of evaluation the literature confirms again multiple

issues with different methodologies. It is accepted that there are certain advantages and

disadvantages in each methodology. Grant (2013) differentiates as rigorous three types of

outcome studies with an indication of potential issues associated with them:

Case studies that can provide valuable descriptive data but do not allow generalized

evaluations or the comparison of results between different coaching interventions.

Within-subject outcome research which allows comparison of the impact of coaching

on a group of individuals. The group is assessed before and after the coaching

interventions. This is the most commonly used study design in the literature and can

provide valuable quantitative data of change, but causation cannot be attributed only

to coaching.

Between-subject and Randomized Controlled Studies, which are considered by

some to be the ‘gold standard’ particularly in medical research. Although they can

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measure change and relate it to the intervention, the utility of these designs for

studying coaching is contested (de Haan & Duckworth, 2012; Greif, 2009; Passmore

& Fillery-Travis, 2011) due to problems with delineating a control group, maintaining

the ‘blind’ condition and constructing ‘placebo’ interventions. Uses of self-coaching,

peer-coaching or ‘waiting list’ are considered practical issues in terms of

implementation in relation to coaching studies (Hicks, 1998; Franklin & Doran, 2009;

Greif, 2009; Williams, 2010).

The traditional research literature on evaluations typically associated with a positivist

paradigm, focuses on searching for general relationships between a small number of

discrete variables across wide varieties of context. However, these contexts, from a

constructionist’s point of view, have a large impact upon these relationships (Fishman, 1999:

235). Without consideration of context the findings of such studies may lead to conclusions

that are so generic that their practical value becomes questionable (Orlinsky, et al, 1994;

Grief, 2007; de Haan & Duckworth, 2012).

It is not surprising that some research communities resist the idea that only one

notion of research is recognised as science: the one identified with modernistic positivism. It

has been argued that there are other meanings of science, for example, as disciplined,

critical, reflective thought that compares and contrasts evidence, arguing for alternative

interpretations or explanations of a particular phenomenon (Fishman, 1999; Cronin &

Klimoski, 2011). In coaching research Grant (2013) argues, “an evidence base per se does

not purport to prove that any specific intervention is guaranteed to be effective, nor does it

require that a double-blind, randomized, controlled trial is held as being inevitably and

objectively better than a qualitative case study approach” (2013: 3). This means that the

evaluations of coaching could be approached from different research paradigms

(pragmatism, contextualism, interpretivism) and may benefit from mixed designs. For

example it can include retrospective questionnaires validated by traditional positivist

procedures (Passmore, 2008), but also include new instruments that were developed with

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considerations of factors such as the type of coaching, the organizational level of the

coachee, the specific objectives and context of each coaching engagement (De Meuse et al,

2009; Ely et al, 2010).

The theme of specific measures that could be used for evaluation of coaching is not

an easy one either. According to Fillery-Travis and Lane (2006) before we can ask whether

coaching works we must ask why it is being used. A fundamental difficulty of coaching

outcome research is the extreme heterogeneity of issues, problems and goals, which can be

picked out as themes in different coaching interventions. This could be compared with

therapy where it is possible to offer general indicators of the quality of service such as

subjective wellbeing, symptom reduction and life functioning (e.g. Mental Health Index,

Howard et al, 1996). In coaching, however, it is difficult to identify the outcome measures

applicable to the whole range of coaching interventions (Greif, 2007, p. 224). Grant (2013),

providing many examples from the vast range of issues addressed in coaching, concludes

that there is an almost endless list of applications. The majority of these outcomes are

difficult to quantify. This is why sometimes the target outcomes are selected because they

can be measured, rather than because they are appropriate for individual clients or reflect

the nature of coaching (Easton & Van Laar, 2013).

Often practitioners create a battery of measures, which might reflect the context of

the study, their priorities and those of their client or organisation commissioning the

evaluation. A combination of measures or indicators can sometimes help to avoid

oversimplification with an intention to work towards meeting a particular target that is

measured (Easton & Van Laar, 2013). Greif (2007), for example, proposes general

measures (degree of goal attainment and client satisfaction with coaching) and specific

measures such as particular social competences; performance improvement and self-

regulation. The choice of these measures has to be justified by the theories tested in the

independent research or by the practical needs of the organisation commissioning the

evaluation.

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Overall, there is recognition in the literature that outcome research and evaluation of

effectiveness of coaching face significant challenges. Therefore there is a need for

pragmatic and creative approaches to this task, which could assure rigour as the result of

competent inquiry.

Methodology of the project

This project was designed as a pragmatic inquiry requiring mixed methods (Tashakkori &

Teddli, 2010) with a large proportion of the data, as requested by the client, of a quantitative

nature using qualitative data to construct a questionnaire and further inform the results.

The quantitative element of the study aimed to establish whether the coaching and

mentoring provided by London Deanery practitioners had an impact on clients by comparing

their scores from Time 1 (pre-coaching) and Time 2 (post-coaching) online measures. In this

project the London Deanery was interested in two variables, which are theoretically related

to the individual change process and were considered by them as relevant for the situation:

employee engagement and self-esteem. To give a fair representation of the aspect of self-

esteem the researchers suggested two measures: self-efficacy and self-compassion.

Selected measures

Schaufeli & Bakker (2003) describe Employee Engagement as a positive, fulfilling, work-

related state of mind that is characterized by vigour, dedication and absorption. Research

over the past ten years has shown the importance of this concept in relation to

understanding key organisational outcomes, such as low turnover (Schaufeli & Bakker

2004), high organisational commitment (Demerouti, Bakker, de Jonge, Janssen & Scaufeli,

2001), and customer-rated employee performance (Salanova, Agut & Peiro, 2005). This has

a potential to provide an indirect relationship between the effect of coaching and ‘customer-

rated’ employee performance as well as reduced turnover and increased organisational

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commitment. Employee engagement is also negatively related to burnout, which was

particularly important to the London Deanery

The Oxford Brookes University team used a typical instrument for measuring

employee engagement, the Utrecht Work Engagement Scale (Schaufeli & Bakker, 2003).

This scale consists of 17 items, six of which measure Vigour, six measure Absorption and

five measure Dedication. Vigour is characterized by high levels of energy and mental

resilience while working, the willingness to invest efforts in one’s work and persistence even

in the face of difficulties. Dedication refers to being strongly involved in one’s work and

experiencing a sense of significance, enthusiasm, inspiration, pride and challenge.

Absorption is characterized by being fully concentrated and happily engrossed in one’s

work, whereby time passes quickly and one has difficulties with detaching oneself from work

(Schaufeli & Bakker, 2003).

The scale consists of 7 points from 0 = Never had this feeling, 1 = almost never, a

few times a year or less, 2 = rarely, once a month or less, 3 = sometimes, a few times a

month, 4 = often, once a week, 5 = very often, a few times a week, to 6 = always, every day.

The mean scale score of the 3 subscales is computed by adding the scores on the particular

scale and dividing the sum by the number of items of the subscales involved. A similar

procedure is followed for the total score.

Perceived Self-Efficacy refers to beliefs about one’s competence to deal with

challenging encounters and the “belief in one’s capabilities to organize and execute the

courses of action required to produce given attainments” (Bandura, 1997, p.3). It is clear

why this concept is related to beneficial coaching and mentoring outcomes. There is now a

large body of research that supports a relationship between measures of perceived self-

efficacy and performance (Stajkovic & Luthans, 1998).

Self-Efficacy was measured using the Generalized Self-Efficacy Scale, GSE

(Schwarzer & Jerusalem, 1995). Cross-cultural research has been carried out which

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confirms the validity of this scale, showing consistent evidence of associations between

perceived self-efficacy and other psychological constructs (e.g. health behaviours,

wellbeing, social cognitive variables and coping strategies (Luszczynska, Scolz &

Schwarzer, 2005).

The 10 items are scored using a 4 point scale: 1= not at all true, 2=hardly true,

3=moderately true and 4 =exactly true. Schwarzer and Jerusalem (1995) found that the

internal consistency varied across cultures but ranged from .78 to .91 and concluded that it

was very satisfactory, considering that the scale only has 10 items. Scherbaum et al (2006)

used Item Response Theory to test the GSE Scale and found that it works best for

individuals with average or below average levels of GSE. The GSE Scale is less precise at

above average levels of GSE.

As low self-esteem has been frequently associated with negative social comparisons

and internalized self-judgments, Self-Compassion (Neff, 2009) was introduced as an

individual measure that is also a predictor of the ability to cope effectively with adversity and

good mental health. Self-compassion comprises being kind and understanding towards

oneself when experiencing pain or failure as opposed to being harsh and self-critical.

Research studies have consistently linked self-compassion to reduced fear of failure,

enhanced perceived competence and emotionally-focused coping strategies, suggesting

that this indicator is a promising one for coaching (Neff, 2009; Neff & Vonk, 2009; Neff &

Lamb, 2009).

Self-compassion has three basic components: 1) extending kindness and

understanding to oneself; 2) seeing one’s experiences as part of the larger human

experience rather than as separating and isolating, and 3) holding one’s painful thoughts

and feelings in balanced awareness and not over-identifying with them. (Baumesieter,

Bushman & Campbell, 2000, as reported by Neff, 2003).

Self-compassion is measured with the Self-compassion Scale (SCS, Neff, 2003).

The 12-item scale was used with items 2 & 6 for self-kindness, items 11 & 12 for self-

judgement, items 5 & 10 for common humanity, items 4 & 8 for isolation, items 3 & 7 for

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mindfulness and items 1 & 9 for over-identification. Subscale scores are computed by

calculating the mean of subscale item responses. To compute a total self-compassion

score, reverse score the negative subscale items - self-judgement, isolation and over-

identification (i.e. 1=5, 2=4, 3=4, 4=2, 5=1) - then compute a total mean. Neff (2003) found

that internal consistency was above the acceptable: .75 level for overall and subscales.

Test/re-test reliability of overall scale plus subscales was also found to be acceptable (.93

overall).

A bespoke questionnaire

We made the decision to develop another instrument for this evaluation for two main

reasons. The first was responding to the need of the client-organisation to address the more

specific contextual relationship between the coaching service provided to London Deanery

clients and noticeable behavioural and attitudinal changes that might be linked to their work

performance and, consequently, patient care. The second was recognizing the importance

of being creative when facing various issues associated with measurement. In this case our

intention was to capture not just the static estimation of particular aspects of the clients’

working lives but directly addressing the degree of changes that happened in relation to

these aspects by the end of the coaching process.

To create this measure we interviewed appropriate stakeholders: three users of service

(two consultants and one GP), two coach/mentors and two matchers, those referring clients

to this service and identifying a suitable coach. A Grounded Theory approach (Strauss and

Corbin, 1990) was used as the main methodology for analysis. The following themes that

emerged as the result of the qualitative analysis were particularly useful in the development

of the bespoke questionnaire:

a) Impact on patients

Improved interactions with patients

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Improved feedback from patients

Use of coaching/mentoring techniques with patients

Changes in patients’ behaviour, such as reduced dependency, better use of

doctors’ time.

b) Impact on colleagues

Improved interactions and communication with colleagues

Use of coaching/mentoring techniques with colleagues.

c) Impact on self

Improved confidence

Better time management at work, leading to an improved work-life balance

Improved capacity to solve problems and make decisions, including career

decisions

Better relationships with family members

Made them decide to stay within the profession after seriously considering

leaving the NHS.

These questions allowed generation of contextually meaningful data for this evaluation.

Although this added an important element for measuring the potential impact of coaching we

had to acknowledge that in this type of study, without a control group, it was impossible to

claim that changes happening to coached clients were the results of coaching rather than

any other influences or combination of influences. In order to minimize this limitation we

added another question to our bespoke questionnaire in which clients themselves could

indicate to what degree coaching contributed to each identified change. Although this

indication is a self-estimation we believe that the well-educated and self-aware clients in this

study were conscious agents of their life situation and therefore had sufficient insight into the

relationship between various influences in their lives. We believed in their unique position to

isolate the role of the service they received from the complex array of other factors in their

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life and to be completely open about this under the conditions of this particular study when

there was no reason for them to misrepresent their responses.

This questionnaire was piloted internally to check the questions and appropriate

adjustments were made following feedback. The final questionnaire SWRQ (Specific Work-

Related Questionnaire) became part of the Time 2 questionnaires.

To summarize, the Time 1 questionnaire consisted of demographic questions and

three scales measuring Employee Engagement, Self-Efficacy and Self-Compassion. The

demographic questions were developed to capture the respondents’ age group, sex, ethnic

origin, whether trained inside or outside the UK and career level. The Time 2 questionnaire

included the above three scales of the Time 1 questionnaire and the SWRQ scale that

aimed to identify changes in aspects of working life of the client and degree to which the

client attributed each change to coaching. All the questionnaires asked for the unique

registration number allocated on application in order to pair the Time 1 and Time 2

responses for each individual, whilst maintaining anonymity.

Research process

Once the potential participants of the evaluation research applied for the coaching

programme online they were informed about the evaluation study and were given an option

to opt out if they did not wish to take part. Once accepted, clients were sent their registration

number (CLT number) and then an online link to the Time 1 Survey on Surveymonkey. The

next stage was the normal process of the coaching programme as provided by the London

Deanery. The participants were rung by one of a small team of matchers, all trained Deanery

Coaches. A structured conversation was held with the client checking their reasons for

seeking coaching, their understanding of the process and practical requirements such as

venue and time. The participant was then sent an email with the description of three

coaches attached for them to identify their preferred coach. Clients were offered coaches

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outside their specialty and outside their place of work to ensure externality to the coaching

process. The coaching intervention consisted of four sessions of 1-1.5 hours taken over a

period of six months. When the coaching was completed participants were sent a link with

an invitation to complete the Time 2 questionnaires. The research was conducted with

consideration of good practice and strict ethical guidelines.

Results

Overall there were 189 Time 1 responses and 137 Time 2 responses. After matching

responses and taking out responses where the clients had not completed the minimum

number of sessions, there was a total of 120 matched Time 1 & Time 2 responses.

Therefore, the final response rate was 78%.

The demographic data show that 48.3% of respondents were aged between 30-39,

20.8% were aged between 20-29, 23.3% were aged between 40-49 and 7.5% were aged

between 50-59. There were no respondents aged over 60 years old. The majority of

respondents were female (66.7%). Nearly all respondents were trained within the UK (92%).

The majority of respondents (46.7%) were less than 2 years Post Qualification with a further

25.8% more than 2 years Post Qualification and 18.3% Foundation Trainees. The majority of

respondents were White British followed by 18.3% who were Asian or Asian British: Indian.

The results of the three selected established measures (table 1 and 2) indicate that

clients benefited from the programme in relation to each of them.

Employee

Engagement

Time 1

Employee

Engagement

Time 2

Self-

Efficacy

Time 1

Self-Efficacy

Time 2

Self-

Compassion

Time 1

Self-

Compassion

Time 2

Mean/Standard

Deviation 4.13 (0.78) 4.37 (0.71)

2.99(0.39) 3.17(0.39) 2.98 (0.61) 3.22 (0.63)

Median/Range

of scores 4.2(4.20) 4.4(3.94) 3(1.9) 3.1(1.9) 2.92(3.17) 3.25(2.84)

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Minimum score 1.60 1.93 2 2.1 1.25 1.58

Maximum

score 5.80 5.87 3.9 4 4.42 4.42

Table 1 Descriptive data from Time 1 and Time 2 questionnaires

Table 1 shows the descriptive data for both Time 1 and Time 2 for Employee Engagement,

Self-Efficacy and Self-Compassion. The first line of data looks at the means and it is clear

that all Time 2 means (average) are higher than the Time 1 means (average).

UWES Manual Sample London Deanery Sample

Number 655 120

Mean 3.10 4.13

Coding

“At least a couple of times a

month”

“At least once a week”

Nationality Dutch & Finnish English

Background Completed career counselling

questionnaire

Applied to coaching programme

Table 2 Comparing UWES sample and London Deanery sample

However, before exploring whether these differences are statistically significant, it is

important to consider levels of Employee Engagement, Self-Efficacy and Self-Compassion

before the coaching began. Table 2 describes the differences in results of the sample of

doctors that was used in the UWES Manual. These results suggest that the clients in this

study had higher levels of employee engagement before they started the coaching than the

sample from the UWES manual. What is also important to point out is the minimum and

maximum scores and the resulting range of scores. Whilst the average employee

engagement levels are reasonably high there is a wide range of scores, with the lowest

being 1.60 (which equates to “ at least once a year”) and the highest being 5.80 (which

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equates to “a couple of times a week or daily”). At Time 2 the range of scores is reduced, as

is the Standard deviation, which measures dispersion around the average value.

Although Self-Efficacy scores had the largest effect size (Table 3) the ranges of

scores and standard deviation stayed nearly the same. Like Employee Engagement, scores

for Self-Compassion showed decreases in range of scores.

Scale

Standard

Deviation t Df Sig. (2-tailed)

Employee Engagement

0.66 3.968 119

0.000

Self-Efficacy 0.36 5.423 119 0.000

Self-Compassion 0.47 5.586 119 0.000

Table 3 Paired sample t-tests to measure whether Time 2 means are higher than

Time 1 scores

The results of the paired sample t-tests in Table 3 show a positive impact on mean scores of

Employee Engagement, Self-Efficacy and Self-Compassion (at the .01 level) with a highly

significant effect for mean scores on all three scales. Effect sizes were calculated based on

Cohen's calculations for paired sample t-tests. Effect size for Employee Engagement is .32,

effect size for Self-Efficacy is 0.45 and effect size for Self-Compassion is .38. This shows

that the effect sizes vary from between small and medium (Employee Engagement and Self-

Compassion and medium (Self-Efficacy). It is also important to highlight that there is

evidence that the UWES is better at measuring lower compared to high levels of employee

engagement. Therefore it is possible that the coaching had more of an impact on coaches

than these effect sizes suggest. The General Self-Efficacy scale is also better at measuring

lower scores than higher ones.

This means that all three measures selected for their capacity to illustrate meaningful

changes in the clients as the result of their coaching, confirm that these changes were

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significant. The clients reported higher levels of employee engagement, self-efficacy and

self-compassion after being coached in comparison to the levels of these aspects in their

lives before they engaged with the coaching programme. The results were not driven by any

particular subgroup and benefit was seen across subgroups in race, gender, stage of career

and age.

Another type of analysis was made available by using the SWRQ (specific work-

related questionnaire developed for this study). This questionnaire was designed to explore

the changes that are perceived by the clients in relation to their work. The results of this

analysis are shown in the figures 1 and 2 and in the following table 4.

Figure 1 Changes perceived in working life as the result of coaching

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Figure 1 represents the results of the analysis of the participants’ responses to Q.5: “How

the following aspects of your work have changed since starting coaching”. This figure

illustrates how, according to clients themselves, certain aspects of their working life were

changing or remained the same after the period when they undertook coaching. Different

shades of grey represent the degree to which the clients perceived the changes. It is clear

that the category “worsened significantly” is not present in the figure. The result suggests

that the majority of these aspects improved or improved significantly. Only a very small

number of responses (21) indicated that some particular aspects of their working life

“worsened somewhat”. It is interesting to notice that ten of these responses are related to

the ‘Intention to stay in the current position’, which could be interpreted as a positive

outcome in some situations when a radical action is beneficial for both the employee and the

employer.

Particularly positive perceptions of changes were demonstrated in relation to

Perception of values of the client contribution to their current role, Confidence to make

changes in the workplace and Ability to make career decisions. In comparison to other

factors it appears that the coaching programme was particularly successful in empowering

the clients and improving their perception of themselves at work. This indication of changes

corresponds with the data of self-efficacy and self-compassion in the Time 1 and Time 2

questionnaires.

Although the results of changes demonstrated in Table 2 and Fig 3 show significant

changes in clients who undertook the coaching programme it could be argued that these

changes might indicate the influence of a combination of factors other than coaching.

Because we had no control group we do not know to what degree the changes that we have

seen are due to the coaching that they received. In order to compensate for this issue we

included question 6 in our SWRQ, which asked this question directly: “Please indicate the

extent to which coaching/mentoring contributed to this change”. In relation to each change

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from Question 5 the clients could indicate if the change could be attributed to coaching and

the degree they believed the coaching influenced this change.

The results of analysis of responses to this question are demonstrated in Fig. 2.

Figure 2 Perception of participants on how changes occurred are attributable to

coaching

The black bar in the Fig 2 highlights the number of respondents who felt that there had been

some improvement (either somewhat or significant) in the areas highlighted in SWRQ. The

dark grey bar highlights the numbers of respondents who felt that the coaching had

influenced the positive change that is highlighted by the black bar. The light grey bar sitting

in front of two other bars highlights what percentage of positive improvement was attributed

to the coaching. For example as was already shown in Fig 1 the three areas of work where

respondents felt there had been the most improvement were “Perception of value of your

contribution”, “Confidence to make changes at work” and “Ability to make career decisions”.

In these areas of work where there had been improvements, respondents felt that a large

percentage of the improvement was due to the coaching that they had received – on

average 98% for these three most changed areas of life.

87 92

51

71 69

54 48

82

45

73 84

90

46

66 64

51 47

81

39

69

97% 98%

90% 93% 93% 94%

98% 99%

87%

95%

80%82%84%86%88%90%92%94%96%98%100%

0102030405060708090

100

Pe

rce

nta

ge

Nu

mb

er

Nos. improved somewhat or significantly Nos. of improved influenced by coaching

Percentage of improvement influenced by coaching

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The lowest change is indicated in the area of work with patients, which may indicate

that Time 2 responses reflect increased confidence and the way participants felt about

themselves, but it may take time to recognize such changes in action particularly with their

work with patients. It is also possible that the junior doctors may be fairly remote from patient

satisfaction questionnaires (this tends to happen at a departmental level) and therefore find

it difficult to notice the effect of their internal changes on patients.

Findings from the open question in SWRQ

Question 9 in the SWRQ asked participants in a word or phrase to describe what difference

the coaching and mentoring programme had made to them. All participants responded to

this question. Three researchers, first independently and then together, analyzed these

responses and identified the following themes. These themes are described in the order of

the number of comments considered as representing each theme (from highest to lowest).

Theme (No of comments)

Example of the comments

Confidence (32) "Substantially increased my confidence in the workplace in the context of being a new consultant joining a well-established senior team".

Change/problem solving (22)

"I can now confidently formulate strategies to help me achieve

my goals".

Self-awareness (17) "…gave me insight into the tools I possess myself to change my work and personal life".

Reflection (16) "…taught me how to analyse my experiences objectively –

reflecting, thinking about things a lot deeper than I usually

would"

Work-life balance (12) "It has improved my perspective on what I am able to achieve at

work and so improved my work-life balance significantly. I feel

better able to cope as a result."

Seeing things in perspective (8)

"…helped me to see my position, behaviour and current options in better perspective"

Career development (7) "…focused my ideas of where I want to be in the future and how to influence and use the resources open to me now to reach

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these roles".

Being listened to/sharing (6)

"I was able to safely discuss a very difficult situation at work".

General positive (14) "An immense difference – turned my life around."

General negative (7) "…not all problems have a solution".

Table 4. Summary of qualitative analysis

On the whole the qualitative analysis suggests an overwhelmingly positive impact of

coaching on clients and a wide variety of the benefits associated with participation in this

programme. The overarching patterns of the benefits are:

Confidence improvement and increased self-awareness

Specific areas of working life where there was a significant difference as the result of

coaching such as career development and work-life balance

Acquiring a range of skills that could make participants more capable of addressing

potential issues, such as the skills of problem-solving, reflection and seeing things in

perspective.

It would be unusual if the effect of coaching were universally positive. A small

percentage of general negative comments 4.96 illustrate that there are circumstances in

which this particular type of intervention is not the best solution. There could be of course

other explanations (e.g. not the best match between coach and client); however without

further investigation these are only speculations.

Discussion and conclusions

The evaluation described in the report with the support of both quantitative and qualitative

methods indicate that the London Deanery coaching programme provides an effective

service for their clients. Well-validated measures that were selected for this evaluation

project conclusively show that employee engagement, self-efficacy and self-compassion of

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the participants significantly improved. It could be argued that the measures selected for this

project have been sufficient for the purposes of the evaluation. They appropriately reflect the

nature of this programme, which is by definition individually focused. However, as the

programme is delivered and paid for by public funding the benefits for the individuals have to

be meaningful in the context of the added value to the ultimate users: in this context,

patients. Therefore, an additional questionnaire SWRQ was developed with a focus on

evaluating changes in the context specific to London Deanery coaching clients. The

questionnaire allowed unique information to be elicited about the nature of changes that

clients identified as the result of the programme related to their place of work and

consequently showed improvements particularly to the aspect of self (confidence in their

ability). We believe that this questionnaire would be useful for future evaluations and the

data collected in this project can be used for developing the scale for further investigations.

In terms of the design of the evaluation needless to say that projects with features of

the randomized control study would be easier to defend in the traditional scientific

community. However, there are many reasons to expand this position and we propose to

consider at least three of them. The first is simply pragmatic. Considering many issues that

constrain the use of RCTs in coaching research (Cavanagh & Grant, 2006; Greif, 2009;

Passmore & Fillery-Travis, 2011), not the least the cost-effectiveness of the evaluation itself,

we need to develop research designs that are possible to execute. A more positively

formulated reason for creating new measures for evaluating coaching programmes relates to

giving more status to the participants according to the nature of coaching itself. Coaching is

about valuing the voice of the individual, empowering the person and trusting in his/her

ability to make a judgment about the issues that reflect his/her life. Research that actively

includes the voice of participants in judging the changes they have experienced is better

aligned with coaching than research that treats participants as only capable of answering

very simple questions leaving the analysis to an ‘objective’ researcher.

A third and probably the most important reason for being more daring and creative in

searching for new approaches to evaluation is based on the acknowledgement that the

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outcomes we aim to assess result from the complex interaction of multiple elements in

systems with emerging properties. Jones and Corner (2012) recently argued that mentoring

should be seen as a case of complex adaptive system (CAS) and their arguments are more

than relevant also for coaching. Seeing coaching engagement through this lens brings to the

fore many issues that were very difficult to account for in this research. For example, the

changes that occurred within the clients are directly and complexly related to their context

and it is impossible to isolate all the influences without losing the essence of the process and

the layers of meaning for each individual involved. This means that we need to look at

research methods that include new ideas different from traditional science because it implies

a different view of the world.

In particular we suggest wider use of qualitative methods that can enrich

understanding of the effect of coaching. Some of these methods can include, for example,

vignettes constructed around actual experiences, by using situations provided by

participants before and after coaching. These rich descriptions of actual experiences can be

seen as snapshots of the complexity reflected in one particular case without losing the link

with its context. We can use the SWRQ for evaluation of coaching programmes as an

addition to other methods and an alternative solution when RCT is not possible/appropriate

as it includes a self-estimation by the respondents about the extent to which they can

attribute each change to the received coaching also without losing the view of the systemic

nature of their situations.

We also wish to advocate further building of the theoretical base of coaching by

extending evaluation research from the question of effectiveness of coaching to exploring

further questions such as the following:

What elements of coaching in this programme have particularly contributed to

positive outcomes?

Are the changes identified by the clients sustained over a longer period?

To what type of clients is this programme most suited?

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What difference does the matching process make?

In what way can the changes identified by the client actually affect their work with

patients?

Research into the effect of the coaching programme on a large scale was on the agenda for

the London Deanery at the start of this project. Although this could be an important and

ambitious undertaking we believe that this current project has provided a positive answer to

the question about the effectiveness of the coaching programme on a reasonable scale. In

light of these findings we would argue that the questions that aim at improvement of the

service which are of a more precise nature, similar to the questions listed above, would be

no less important and probably more pertinent for the ultimate stakeholders of the London

Deanery’s coaching programme.

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